Provider Demographics
NPI:1588024277
Name:STARLING, MERELINE (LVN)
Entity type:Individual
Prefix:
First Name:MERELINE
Middle Name:
Last Name:STARLING
Suffix:
Gender:F
Credentials:LVN
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:PO BOX 21
Mailing Address - Street 2:
Mailing Address - City:HENDERSON
Mailing Address - State:TX
Mailing Address - Zip Code:75653-0021
Mailing Address - Country:US
Mailing Address - Phone:903-657-4304
Mailing Address - Fax:
Practice Address - Street 1:4285 HWY 259 SOUTH
Practice Address - Street 2:
Practice Address - City:HENDERSON
Practice Address - State:TX
Practice Address - Zip Code:75654-5133
Practice Address - Country:US
Practice Address - Phone:903-649-1326
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2016-02-24
Last Update Date:2021-08-04
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes311ZA0620XNursing & Custodial Care FacilitiesCustodial Care FacilityAdult Care Home
Provider Identifiers
StateIdentifier IDID TypeIssuer
TX000863500OtherAPI
TX136722OtherADULT FOSTER CARE LICENSE